Author: Government Audit Training InstitutePublisher:
ISBN:
Category : Fraud
Languages : en
Pages : 166
Book Description
Prevention and Detection of Fraud, Waste, and Abuse
Author: Government Audit Training InstitutePublisher:
ISBN:
Category : Fraud
Languages : en
Pages : 166
Book Description
Prevention and Detection of Fraud, Waste, and Abuse of Public Funds
Author: Prevention and Detection of Fraud, Waste, and Abuse of Public Funds
Author: United States. Law Enforcement Assistance AdministrationPublisher:
ISBN:
Category :
Languages : en
Pages : 71
Book Description
Recommended Fraud, Waste, and Abuse Detection and Prevention Program
Author: Ohio Health Plan's Procedures for Detecting Fraud, Waste and Abuse
Author: Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 10
Book Description
The Ohio Department of Job and Family Services (ODJFS), as the Single State Medicaid Agency, has numerous processes to prevent and detect fraud, waste, and abuse in the Medicaid program. Various areas of ODJFS, the Ohio Attorney General's Office (AG), the Ohio Auditor of State (AOS), the United States Department of Justice, and the Department of Health and Human Services (HHS) each contribute to the oversight, detection and prevention of fraud, waste, and abuse for the ODJFS's, Office of Health Plans (OHP). ODJFS has dual overall purposes for program integrity of Medicaid: pre-payment education; and prevention of provider fraud waste, and abuse.
Fraud Prevention and Detection
Author: Rodney T. StamlerPublisher: CRC Press
ISBN: 146655455X
Category : Business & Economics
Languages : en
Pages : 316
Book Description
Lessons can be learned from major fraud cases. Whether the victim is a company, public agency, nonprofit, foundation, or charity, there is a high likelihood that many of these frauds could have been prevented or detected sooner if early Red Flag warning signs had been identified and acted upon. Fraud Prevention and Detection: Warning Signs and the
Workshop Proceedings
Author: Forum Session Announcement - Prevention and Early Detection of Health Care Fraud, Abuse, and Waste
Author: Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Book Description
Forum Session Announcement - Prevention and Early Detection of Health Care Fraud, Abuse, and Waste F O R U M S E S S I O NPrevention and Early Detection of Health Care Fraud, Abuse, and Waste A N N O U N C E M E N T A DISCUSSION FEATURING: Kimberly Brandt Director Program Integrity Group Centers for Medicare & Medicaid Services U. [...] health care system is "full of waste and abuse" and that his preferred health reform ap- proach would eliminate "hundreds of billions of dollars in waste and fraud."1 While the dollar amounts lost to fraud, abuse, and waste are not known for sure, the National Health Care Anti-Fraud As- sociation "estimates conservatively that 3% of all health care spend- ing-or $68 billion-is lost to health care. [...] The ex- tent to which significant program savings are achievable depends on the effectiveness of the tools used to detect fraud and abuse. [...] KEY QUESTIONS • What factors contribute to the prevalence of fraud, waste, and abuse in health care, and in Medicare in particular? Are there char- acteristics unique to Medicare's payment practices or beneficiaries that make the program vulnerable? • What is Medicare doing to prevent fraud and abuse and to mini- mize waste? How successful have these efforts been? • What are most effective anti-fr. [...] Arias will discuss common health care fraud schemes, the reasons he believes health care fraud is relatively easy to commit, and what actions Medicare and private insurers could take to better prevent and detect fraud.
Healthcare Fraud
Author: Rebecca S. BuschPublisher: John Wiley & Sons
ISBN: 1118240251
Category : Business & Economics
Languages : en
Pages : 374
Book Description
An invaluable tool equipping healthcare professionals, auditors, and investigators to detect every kind of healthcare fraud According to private and public estimates, billions of dollars are lost per hour to healthcare waste, fraud, and abuse. A must-have reference for auditors, fraud investigators, and healthcare managers, Healthcare Fraud, Second Edition provides tips and techniques to help you spot—and prevent—the "red flags" of fraudulent activity within your organization. Eminently readable, it is your "go-to" resource, equipping you with the necessary skills to look for and deal with potential fraudulent situations. Includes new chapters on primary healthcare, secondary healthcare, information/data management and privacy, damages/risk management, and transparency Offers comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans Examines the necessary background that internal auditors should have when auditing healthcare activities Managing the risks in healthcare fraud requires an understanding of how the healthcare system works and where the key risk areas are. With health records now all being converted to electronic form, the key risk areas and audit process are changing. Read Healthcare Fraud, Second Edition and get the valuable guidance you need to help combat this critical problem.
Financial Fraud Prevention and Detection
Author: Michael R. YoungPublisher: John Wiley & Sons
ISBN: 1118617630
Category : Business & Economics
Languages : en
Pages : 325
Book Description
Step-by-step guidance for board members and executives on preventing and detecting accounting fraud In the wake of highly publicized allegations of accounting irregularities and fraudulent financial reporting that are shaking up today's corporate community, Financial Fraud Prevention and Detection provides a step-by-step guide to how these crises can envelop a company and how to prevent them from happening in the first place. It is written for almost everyone involved: outside directors, audit committee members, senior executives, CFOs, CPAs, in-house lawyers, and outside law firms. Provides a blueprint for Fraud Prevention and Detection for corporate executives Presents step-by-step guidance to corporate boards and C-suite executives on managing the threat of accounting fraud Prepares directors and executives for the possibility of accounting irregularities Answers the question of how accounting fraud starts—and grows With solid strategies for prevention of accounting fraud as well as a process to follow when fraud has been discovered, Financial Fraud Prevention and Detection vividly explores the corporate environment that causes fraud, how it spreads, the kind of crises it can create for a company, and the best ways to deal with it.